# BARNETT FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073842035
- **Authorized official:** DANIEL L. WIENS (SENIOR VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (704) 355-0648

## Contact information

- **Practice address:** 14214 BALLANTYNE LAKE RD, CHARLOTTE, NC 28277-3372
- **Practice address phone:** (803) 283-2011
- **Practice address fax:** (803) 286-9962
- **Mailing address:** PO BOX 601588, CHARLOTTE, NC 28260-1588
- **Mailing address phone:** (803) 283-2011
- **Mailing address fax:** (803) 286-9962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2009
- **Last updated:** 03/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | NPB361 | — | SC |